Forms

Self Assessment Form

These questions are a way of clarifying and exploring what you are hoping to gain from trauma therapy. The questions are optional but can help to guide the direction of our work together.

Trauma Therapy Introductory Form

Thank you for your interest in Somatic Experiencing (SE) and Relational Trauma Therapy. Please download the form, fill in the basic information and return to me.

Assessment Screen for PTSD

A commonly used screening tool for diagnosing Post Traumatic Stress Disorder. This form lists the major symptoms currently associated with this diagnosis.

Assessment Screen for Dissociative Symptoms

This form identifies different aspects of dissociation including derealization and depersonalisation

The Dissociative Experiences Scale

A comprehensive set of questions that can help to identify a broad range of dissociative difficulties